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Individual

HANNAH JACOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
ONE SHAW'S COVE, NEW LONDON, CT 06320-4902
(860) 447-8304
Mailing address
ONE SHAW'S COVE, NEW LONDON, CT 06320-4902
(860) 447-8304

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R209541
MD
363L00000X
Nurse Practitioner
Primary
9037
CT

Other

Enumeration date
05/11/2020
Last updated
09/01/2020
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